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Organization

EYECARE CENTERS OF AITKIN & MCGREGOR OPTOMETRISTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN ANTHONY KINZER OD (OWNER/PARTNER)
(218) 927-3213
Entity
Organization

Contact information

Practice address
312 MINNESOTA AVE. N, AITKIN, MN 56431-1414
(218) 927-3213
(218) 927-2266
Mailing address
312 MINNESOTA AVE N, SUITE 1, AITKIN, MN 56431
(218) 927-3213
(218) 927-2266

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1998
MN
152W00000X
Optometrist
Primary
2588
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
601218300
MN
Enumeration date
07/01/2006
Last updated
12/03/2008
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